Acute renal failuretreatment is largely based on preventing and treating its devastating effects. As with any disease process, prevention is the primary intervention. Attaining and maintaining adequate hydration and diuresis in high-risk clients is crucial, as is the prevention of contributing factors.
Once acute renal failure has developed, prompt recognition and action facilitate restoration of optimal renal function. Correction of the underlying condition, such as hydration for a client with hypovolemic shock, may be all that is necessary.
Here are some of the pointers that are being focused on the acute renal failure treatment:
- Nutritional needs are also determined by the treatments that are used by the patient such as dialysis. Another determinant of nutrition and diet is the cause of ARF. There are generalized variations in patients who have trauma, burns, or infections to those who had ARF caused by other diseases. In addition, some diseases and medications affect the patient's appetite thus increasing the need for nutritional balance.
- Enough energy should be provided for patients with acute renal failure to be able to provide sufficient amount of weight maintenance and to meet the demands of stress accompanying ARF, usually 30-40 kcal/kg of body weight.
- Fats, oils and simple carbohydrates, and low protein starches should provide non protein kilo calories.
- In cases where dialysis is not a treatment option, protein should be regulated to 0.6 grams per kilogram body weight. While this is a well accepted value, it should not exceed more than 40 grams on any person.
- When you are on dialysis, it is much less restrictive on protein as it can be individualized to 1.0 to 1.4 g/kg of body weight.
- On both occasions, however, the use of biologically high value proteins is strongly recommended.
- During the oliguric phase, sodium salt might be restricted to 1000 to 2000 mg and potassium to 1000 mg per day. These are two of the most vital electrolytes that the body needs and they may be lost during the period of frequent urination. Thus, replacement might be necessary.
- Fluids are also monitored closely. They are replaced basing upon how much water does the body get rid of each day including vomitus, urine and diarrhea.
Acute renal failure treatment, as with any treatment, needs the cooperation and adherence of regimen from the patient. Providing an optimal quality of life involves concerted efforts by all members of the health care team with the client and family members as active partners.
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